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Contact Information

CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA
1470 TOBIAS GADSON BLVD
SUITE 110
CHARLESTON, SC29407
 Phone: 843-556-4380
 Fax: 843-571-5531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA · (Female)

NPI # 1023055688
Status Active
Credentials
Entity Individual
Enumeration date 06/01/2006
Last updated 12/17/2009 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid PA3941
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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